手法治疗神经根型颈椎病的体感诱发电位的观察研究

Changes of SEP by manual rehabilitation on patients with cervical spondylotic radiculopathy

目的观察手法治疗神经根型颈椎病的体感诱发电位(somatosensory evoked potentials,SEP)变化。方法40例神经根型颈椎病患者分为手法组及常规组各20例,治疗前及治疗2周后检查SEP。结果治疗后总有效率手法组95%,常规组85%;临床治愈率手法组为60%,常规组40%。两组间疗效及平均治疗时间差异无统计学意义。治疗前SEP异常率为55%(22/40例),主要表现为N9、N11及N13潜伏期延长;治疗后2组各潜伏期均有改善,手法组N11潜伏期改善较常规组更显著(P<0.05)。结论手法治疗可改善神经根型颈椎病的临床症状。

Objective To observe the effect of manual rehabilitation on somatosensory evoked potentials （SEP） in patients with cervical spondylotic radiculopathy （CSR）. Methods Forty CSR cases were divided into manual rehabilitation group and routine group equally. The SEP was examined before and 2 weeks after the rehabilitation treatment. Results The total effective rate in manual rehabilitation group and routine group were 95 % and 85% with the clinical healing rate being 60% and 40% ,respectively. There was no significant difference in the therapeutic effect and the mean course of treatment between the two groups. The abnormal rate of SEP was 55% before the treatment. The main abnormality was the delay of the latent period of N9, NllandN13. The latent periods in both groups were shortened after treatment. Compared with the routine group, the latent periods of N11 in manual rehabilitation group were shortened significantly （ P 〈 0. 05）. Conclusion Manual rehabilitation can improve the symptom in CSR patients.